NPI 1144678020
Alicia Beth Vanden Bussche Jantz, PHD
Practice location
- Address
- 275 Michigan St NE, Grand Rapids, MI 49503-2531
- Phone
- (616) 267-7401
- Fax
- (616) 267-7594
- Mailing address
- 100 Michigan St NE # Mc845, Grand Rapids, MI 49503-2560
Registered specialties (2)
Clinical Neuropsychologist
Primary
Clinical Psychologist
Registry record
- NPI
- 1144678020
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Jun 2016
- Record last updated
- 9 Dec 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.